Fitness Program Release and Waiver (Pregnant Women)

for Your State

This Fitness Program Release and Waiver is between a fitness studio/gym and a participant who is pregnant. This release indemnifies the studio from liability in the event of an accident or injury.

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This Fitness Program Release and Waiver is between a fitness studio and/or gym and a participant who is pregnant. This waiver and release clearly sets forth that participant understands that the program may increase the risk of injury to her or her unborn child and that her physician was consulted prior to attending the program. It also states that participant agrees to indemnify the fitness club and its representatives for any injuries or accidents suffered while attending the program. It is imperative that this release and waiver be set out in writing rather than by oral agreement. A written Fitness Program Release and Waiver (For Pregnant Women) will prove invaluable if the participant suffers an accident or injury while attending the program.

This Fitness Program Release and Waiver (For Pregnant Women) includes:
  • Client Information: Sets forth the name, address and emergency contact information for the participant. It also contains the baby's expected due date, physician's name and phone number and that a physician's permission is required in order to participate in the program;
  • Participation: Participant understands the risks associated with participating in the program and that participation is voluntary;
  • Indemnity: Sets forth that participant indemnifies the fitness club or gym for any injuries or accidents suffered while participating in the fitness class;
  • Signatures: The participant must sign and date this release in the presence of a witness.

Protect yourself and your rights by purchasing this attorney-prepared form.

This attorney-prepared package includes:
  1. General Information
  2. Instructions and Checklist
  3. Fitness Program Release and Waiver (For Pregnant Women)
State Law Compliance: This form complies with the laws of all states
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.













Fitness Program Release and Waiver
(For Pregnant Women)









This Packet Includes:
1.  General Information
2.  Instructions and Checklist
3.  Fitness Program Waiver and Release
     (For Pregnant Women)











General Information
Fitness Program Waiver and Release
(For Pregnant Women)

This Fitness Program Waiver and Release is for use by a fitness studio and a participant who is pregnant.  This waiver and release sets forth that the participant has consulted with her physician before participating in the fitness program and that she indemnifies the studio for any injuries suffered by herself or her unborn child.  It also contains information about the participant's doctor and child's delivery date.

It is imperative that this waiver and release be clearly set forth in writing.  A written Fitness Program Waiver and Release for a Pregnant Woman will prove  invaluable in the event the attendee suffers any type of injury while participating in physical activity or a fitness program at the studio.
  



Instructions and Checklist


Fitness Program Waiver and Release
(For Pregnant Women)

   Both parties should read the agreement carefully.

   Insert all requested information in the spaces provided on the form.

     The parties should read and understand all provisions of this release.  If any provisions are unclear or ambiguous, set forth specific examples to remove any ambiguity.  

     This form contains the basic terms and language that should be included in similar releases.  

     The participant must sign and date this release in the presence of a witness.  

   Both parties should retain either an original or copy of the signed waiver and release.

   All legal documents should be kept in a safe location such as a fireproof safe or safe deposit box.  



   





DISCLAIMER:

FindLegalForms, Inc. (“FLF”) is not a law firm and does not provide legal advice. The use of these materials is not a substitute for legal advice. Only an attorney can provide legal advice.  An attorney should be consulted for all serious legal matters.  No Attorney-Client relationship is created by use of these materials.  
THESE MATERIALS ARE PROVIDED “AS-IS.  FLF DOES NOT GIVE ANY EXPRESS OR IMPLIED WARRANTIES OF MERCHANTABILITY, SUITABILITY OR COMPLETENESS FOR ANY OF THE MATERIALS FOR YOUR PARTICULAR NEEDS.  THE MATERIALS ARE USED AT YOUR OWN RISK.  IN NO EVENT WILL:  I) FLF, ITS AGENTS, PARTNERS, OR AFFILIATES; OR II) THE PROVIDERS, AUTHORS OR PUBLISHERS OF ITS MATERIALS, BE RESPONSIBLE OR LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATE OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER USED AND ON ANY THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE OF THESE MATERIALS. 
FITNESS PROGRAM RELEASE AND WAIVER
(PREGNANT WOMAN)

CLIENT INFORMATION:

Name: _______________________________________________________________________

Address: _____________________________________________________________________

Emergency Contact (name and phone number):____________________________________

Physicians note is required to participate in this fitness program:

How many weeks pregnant? _______________    Delivery Due Date ___________________

Doctors name ___________________________   Doctors Phone ______________________

Hospital address where deliver is scheduled: _______________________________________

Did you exercise regularly before you became pregnant? Yes ______ No________

If yes, what did you do? _________________________________________________________


AGREEMENT

1.   I understand that participation in any exercise program, while pregnant may increase the risk of injury to myself and, if applicable, to my unborn child. I represent to Fitness Club that I have consulted with my physician regarding my participation. My physician has informed me of the risks that I may encounter and has given me permission to participate in this pregnant womans fitness exercise program. I understand that Fitness Club has the right to stop me from participating in the exercise program if participation would be harmful to me or make me stop exercising upon observation of any symptoms of distress or abnormal response.

2.   I realize that the instructor is not a physician, nurse, or emergency medical technician, and that the instructor and Fitness Club, by making the exercise program available, are not undertaking any responsibility regarding my medical condition(s). If my medical condition should change (e.g. pain, bleeding, discharge or cramps), I will discontinue the exercise program and will immediately consult with my physician about continuing or resuming participation in this or any exercise program.

3.   In consideration for being allowed to participate in this activity, which I do freely and voluntarily for my own personal benefit, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assigns to waive, release and discharge from any and all liability Fitness Club, its respective directors, officers, parents, subsidiaries, affiliates, agents and the instructors of the pregnant womans fitness exercise program for my bodily injury, death, disability, personal injury, property damage, or property theft, or actions of any kind which may hereafter accrue to me.

4.   I hereby agree to indemnify and hold harmless Fitness Club, its respective directors, officers, parents, subsidiaries, affiliates, agents and the instructors of the exercise program I have chosen to attend, from any and all claims, demands, personal injuries, costs, or expense, (including attorneys fees) arising from or relating in any way to my, or my childs, participation in this pregnant womans fitness exercise program.

5.   If any term or condition of this agreement is held to be unenforceable, the court making that determination shall modify that term or condition to the extent necessary to make it enforceable. The invalidity or unenforceability of any term or condition of this agreement shall not affect the remaining terms and conditions of this agreement, all of which shall continue in full force and effect.

6.   I acknowledge that I have read and understand this Fitness Waiver (Pregnant Woman) and have been given the opportunity to ask any questions and have received and understand all of the information which was provided.

IN WITNESS WHEREOF, I have freely signed this Fitness Waiver (Pregnant Woman) form at the time of registration.


Participants Signature __________________________   Date ___________________


Witness Signature _____________________________   Date ___________________




Number of Pages6
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#43600
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.













Fitness Program Release and Waiver
(For Pregnant Women)









This Packet Includes:
1.  General Information
2.  Instructions and Checklist
3.  Fitness Program Waiver and Release
     (For Pregnant Women)











General Information
Fitness Program Waiver and Release
(For Pregnant Women)

This Fitness Program Waiver and Release is for use by a fitness studio and a participant who is pregnant.  This waiver and release sets forth that the participant has consulted with her physician before participating in the fitness program and that she indemnifies the studio for any injuries suffered by herself or her unborn child.  It also contains information about the participant's doctor and child's delivery date.

It is imperative that this waiver and release be clearly set forth in writing.  A written Fitness Program Waiver and Release for a Pregnant Woman will prove  invaluable in the event the attendee suffers any type of injury while participating in physical activity or a fitness program at the studio.
  



Instructions and Checklist


Fitness Program Waiver and Release
(For Pregnant Women)

   Both parties should read the agreement carefully.

   Insert all requested information in the spaces provided on the form.

     The parties should read and understand all provisions of this release.  If any provisions are unclear or ambiguous, set forth specific examples to remove any ambiguity.  

     This form contains the basic terms and language that should be included in similar releases.  

     The participant must sign and date this release in the presence of a witness.  

   Both parties should retain either an original or copy of the signed waiver and release.

   All legal documents should be kept in a safe location such as a fireproof safe or safe deposit box.  



   





DISCLAIMER:

FindLegalForms, Inc. (“FLF”) is not a law firm and does not provide legal advice. The use of these materials is not a substitute for legal advice. Only an attorney can provide legal advice.  An attorney should be consulted for all serious legal matters.  No Attorney-Client relationship is created by use of these materials.  
THESE MATERIALS ARE PROVIDED “AS-IS.  FLF DOES NOT GIVE ANY EXPRESS OR IMPLIED WARRANTIES OF MERCHANTABILITY, SUITABILITY OR COMPLETENESS FOR ANY OF THE MATERIALS FOR YOUR PARTICULAR NEEDS.  THE MATERIALS ARE USED AT YOUR OWN RISK.  IN NO EVENT WILL:  I) FLF, ITS AGENTS, PARTNERS, OR AFFILIATES; OR II) THE PROVIDERS, AUTHORS OR PUBLISHERS OF ITS MATERIALS, BE RESPONSIBLE OR LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATE OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER USED AND ON ANY THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE OF THESE MATERIALS. 
FITNESS PROGRAM RELEASE AND WAIVER
(PREGNANT WOMAN)

CLIENT INFORMATION:

Name: _______________________________________________________________________

Address: _____________________________________________________________________

Emergency Contact (name and phone number):____________________________________

Physicians note is required to participate in this fitness program:

How many weeks pregnant? _______________    Delivery Due Date ___________________

Doctors name ___________________________   Doctors Phone ______________________

Hospital address where deliver is scheduled: _______________________________________

Did you exercise regularly before you became pregnant? Yes ______ No________

If yes, what did you do? _________________________________________________________


AGREEMENT

1.   I understand that participation in any exercise program, while pregnant may increase the risk of injury to myself and, if applicable, to my unborn child. I represent to Fitness Club that I have consulted with my physician regarding my participation. My physician has informed me of the risks that I may encounter and has given me permission to participate in this pregnant womans fitness exercise program. I understand that Fitness Club has the right to stop me from participating in the exercise program if participation would be harmful to me or make me stop exercising upon observation of any symptoms of distress or abnormal response.

2.   I realize that the instructor is not a physician, nurse, or emergency medical technician, and that the instructor and Fitness Club, by making the exercise program available, are not undertaking any responsibility regarding my medical condition(s). If my medical condition should change (e.g. pain, bleeding, discharge or cramps), I will discontinue the exercise program and will immediately consult with my physician about continuing or resuming participation in this or any exercise program.

3.   In consideration for being allowed to participate in this activity, which I do freely and voluntarily for my own personal benefit, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assigns to waive, release and discharge from any and all liability Fitness Club, its respective directors, officers, parents, subsidiaries, affiliates, agents and the instructors of the pregnant womans fitness exercise program for my bodily injury, death, disability, personal injury, property damage, or property theft, or actions of any kind which may hereafter accrue to me.

4.   I hereby agree to indemnify and hold harmless Fitness Club, its respective directors, officers, parents, subsidiaries, affiliates, agents and the instructors of the exercise program I have chosen to attend, from any and all claims, demands, personal injuries, costs, or expense, (including attorneys fees) arising from or relating in any way to my, or my childs, participation in this pregnant womans fitness exercise program.

5.   If any term or condition of this agreement is held to be unenforceable, the court making that determination shall modify that term or condition to the extent necessary to make it enforceable. The invalidity or unenforceability of any term or condition of this agreement shall not affect the remaining terms and conditions of this agreement, all of which shall continue in full force and effect.

6.   I acknowledge that I have read and understand this Fitness Waiver (Pregnant Woman) and have been given the opportunity to ask any questions and have received and understand all of the information which was provided.

IN WITNESS WHEREOF, I have freely signed this Fitness Waiver (Pregnant Woman) form at the time of registration.


Participants Signature __________________________   Date ___________________


Witness Signature _____________________________   Date ___________________




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